How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,318 to $12,882Professionalmedian $912 · 10th to 90th $617 to $4,571
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,698.24 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $977.24 | Professional | None | $602.56 | $776.25 | $977.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $9,120.11 | Facility | None | $3,630.78 | $3,801.89 | $9,120.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $11,748.98 Typical High $13,182.57 | Facility | None | $741.31 | $11,748.98 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,023.29 | Professional | None | $660.69 | $1,023.29 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $3,981.07 Typical High $26,302.68 | Facility | None | $891.25 | $3,981.07 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $4,570.88 | Professional | None | $691.83 | $851.14 | $4,570.88 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,882.50 | Facility | None | $933.25 | $3,548.13 | $12,882.50 |
United Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,047.13 | Professional | None | $616.60 | $724.44 | $1,047.13 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $309.03 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $154.88 Typical High $194.98 | Professional | 53 · Discontinued | $125.89 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $588.84 Typical High $724.44 | Professional | 54 · Surgery only | $467.74 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $117.49 Typical High $144.54 | Professional | 55 · Aftercare only | $93.33 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $77.62 Typical High $97.72 | Professional | 56 · Pre-op care only | $61.66 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $549.54 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $436.52 | $549.54 | $676.08 |
Where Kansas sits
The same service costs 10.1 times more in Alaska than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $19,890MT $1,977
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.